<!doctype html>
<html>
<head>
    <title>compRxinsight - Feedback</title>
    <meta name="layout" content="main"/>

    <meta content="text/html; charset=utf-8" http-equiv="Content-Type">
    <meta content="www.competitionRX.com" name="Author">
    <meta content="global" name="Distribution">
    <meta content="all" name="ROBOTS">
    <meta content="Safe for Kids" name="document-rating">
</head>

<body>
<div id="pageBody">
    <g:render template="/layouts/adminNav"/>

    <div class="full-page">
        <div id="feedback-page" class="updated-cases">
            <h3>Feedback</h3>
            We would love to hear from you.  Please send us any feedback.
            <g:form action='feedback' controller="feedback" class="feedback">
                <ul>
                    <li>Name</li>
                    <li><g:textField name="name"/></li>
                    <li>Email</li>
                    <li><g:textField name="email"/></li>
                    <li>Phone number</li>
                    <li><g:textField name="phoneNumber"/></li>
                    <li>Feedback</li>
                    <g:textArea name="feedback" rows="5" cols="1"></g:textArea>
                    <li><button name="submit">Submit</button></li>
                </ul>
            </g:form>
        </div>
    </div>



</div>

</body>
</html>
